Adhärenz bei Asthmapatienten: Medizinische und psychologische Merkmale identifizieren

2021 ◽  
pp. 1-2
Author(s):  
Peter Haidl
Keyword(s):  
Patient Outcomes ◽  
Psychological Characteristics ◽  
Self Management ◽  
Asthma Knowledge ◽  
Younger Age ◽  
Perceived Involvement ◽  
Personalized Approach ◽  
Anxiety Depression ◽  
The Relationship ◽  
Improve Patient

Medication non-adherence is associated with sub-optimal asthma control. Identification of medical and psychological characteristics associated with non-adherence is important to enable a targeted and personalized approach when working with patients and for the development of interventions to improve patient outcomes by improving medication adherence. We enrolled adults who had diagnosed asthma and who were prescribed daily inhaled corticosteroid medication. We used published and validated instruments to measure medical characteristics including asthma features, practical asthma knowledge and perceived involvement in care and psychological characteristics including anxiety, depression, optimism, and personality traits, to assess the relationship with medication non-adherence. A total of 126 participants provided data, with 64 (50.8%) of the participants identified as non-adherent. Multivariate analyses showed that younger age, high neuroticism scores and a previous asthma hospital admission were associated with non-adherence. Interestingly, depression was associated with a lower risk of non-adherence. This study showed that a personalized medicine approach would include interventions targeting those who are younger, who have been in hospital for asthma and who rate high on the neuroticism personality trait. Given the availability of effective medications for asthma, better understanding of the characteristics associated with non-adherence is important to enhance optimal self-management.

scholarly journals Psychological and Medical Characteristics Associated with Non-Adherence to Prescribed Daily Inhaled Corticosteroid

2020 ◽  
Vol 10 (3) ◽  
pp. 126
Author(s):  
Brett G. Toelle ◽  
Guy B. Marks ◽  
Stewart M. Dunn
Keyword(s):  
Psychological Characteristics ◽  
Self Management ◽  
Inhaled Corticosteroid ◽  
Asthma Knowledge ◽  
Younger Age ◽  
Perceived Involvement ◽  
Personalized Approach ◽  
Anxiety Depression ◽  
The Relationship ◽  
Improve Patient

Medication non-adherence is associated with sub-optimal asthma control. Identification of medical and psychological characteristics associated with non-adherence is important to enable a targeted and personalized approach when working with patients and for the development of interventions to improve patient outcomes by improving medication adherence. We enrolled adults who had diagnosed asthma and who were prescribed daily inhaled corticosteroid medication. We used published and validated instruments to measure medical characteristics including asthma features, practical asthma knowledge and perceived involvement in care and psychological characteristics including anxiety, depression, optimism, and personality traits, to assess the relationship with medication non-adherence. A total of 126 participants provided data, with 64 (50.8%) of the participants identified as non-adherent. Multivariate analyses showed that younger age, high neuroticism scores and a previous asthma hospital admission were associated with non-adherence. Interestingly, depression was associated with a lower risk of non-adherence. This study showed that a personalized medicine approach would include interventions targeting those who are younger, who have been in hospital for asthma and who rate high on the neuroticism personality trait. Given the availability of effective medications for asthma, better understanding of the characteristics associated with non-adherence is important to enhance optimal self-management.

scholarly journals Pro: Access to advanced therapies for severe asthma should be restricted to patients with satisfactory adherence to maintenance treatment

Breathe ◽  
2021 ◽  
Vol 17 (2) ◽  
pp. 210024
Author(s):  
Anna C. Murphy ◽  
Claire Boddy ◽  
Peter Bradding
Keyword(s):  
Patient Outcomes ◽  
Healthcare Professionals ◽  
Inhaled Corticosteroids ◽  
Self Management ◽  
Asthma Treatment ◽  
Biologic Therapies ◽  
Core Component ◽  
The Core ◽  
Advanced Therapies ◽  
Improve Patient

Inhaled corticosteroids (ICS) are the core component of asthma treatment and the only maintenance therapy known to prevent asthma death. There is currently no evidence that biologics prevent asthma death in people with asthma, and as such, biologics cannot be recommended as an alternative to ICS therapy. Taking the time to assess adherence and provide interventions and education to support patients in asthma self-management has been shown to improve patient outcomes. It is therefore our responsibility as healthcare professionals to ensure that patients are supported, educated and motivated to adhere to ICS therapy before progressing to biologic therapies.

scholarly journals The Italian Covid-19 Psychological Research Consortium ( IT C19PRC): General Overview and Replication of the UK study

2020 ◽  
Author(s):  
Giovanni Bruno ◽  
Anna Panzeri ◽  
Umberto Granziol ◽  
Fabio Alivernini ◽  
Andrea Chirico ◽  
...  
Keyword(s):  
Psychological Health ◽  
Traumatic Stress ◽  
Psychological Impact ◽  
Psychological Research ◽  
Factors Associated ◽  
Younger Age ◽  
Research Consortium ◽  
The Uk ◽  
Anxiety Depression ◽  
The Relationship

Background: The Covid-19 pandemic represents a major stressor for the psychological health of people worldwide. In the UK, the Covid19-Psychological Research Consortium Study (C19PRC) launched to evaluate the psychological impact of Covid-19 in the general population and its implications. The project was then extended to Italy and several other countries.Purpose: this article provides an overview of the Italian C19PRC study and its replication of two specific findings from the UK C19PRC. In the first part, the relationship between anxiety and somatic symptomatology is examined. In the second part, we analyse the association between several factors and psychological health outcomes: depression/anxiety, traumatic stress, Covid-19 anxiety. Methods: in line with the study conducted in the UK, an online survey was administered to the adult Italian general population. The sample included 1038 respondents (age, mean = 49.94, SD = 16.14; 51.15% females) taken from four regions: Lombardia, Veneto, Lazio e Campania. The relationship between predictors and outcomes was evaluated by means of logistic regression models.Results: somatic indices showed a positive association with anxiety, worse somatic symptoms were associated with having had losses due to Covid-19 and with precarious health conditions. Females showed a higher incidence of psychological issues. No differences in anxiety, depression, and traumatic stress were found across regions but the Campania region showed the most severe somatic symptomatology. In the second analysis, the factors associated with more severe psychological outcomes (i.e., anxiety and/or depression, traumatic stress, and Covid-19 Related Anxiety) were younger age, the presence of minors in the household, traumatic stressors, and precarious health conditions. No differences across regions emerged.Discussions and conclusions: The Italian results correspond to the UK findings for anxiety, depression, and traumatic stress 1. Both in the UK and Italy, the factors associated with worse psychological health were gender (female), younger age, having children, pre-existing health issues (both for oneself or someone close), and the moderate/high perceived risk of contracting Covid-19 within one month. In Italy, unlike the UK, lower household income and having (had) Covid-19 were not associated with poorer mental health. The psychological impact of Covid-19 can last for months; future research should explore all aspects of the psychological burden of Covid-19 in order to implement psychological interventions and promote psychological health.

scholarly journals The Italian COVID-19 Psychological Research Consortium (IT C19PRC): General Overview and Replication of the UK Study

2020 ◽  
Vol 10 (1) ◽  
pp. 52
Author(s):  
Giovanni Bruno ◽  
Anna Panzeri ◽  
Umberto Granziol ◽  
Fabio Alivernini ◽  
Andrea Chirico ◽  
...  
Keyword(s):  
Psychological Health ◽  
Traumatic Stress ◽  
Psychological Impact ◽  
Psychological Research ◽  
Factors Associated ◽  
Younger Age ◽  
Research Consortium ◽  
The Uk ◽  
Anxiety Depression ◽  
The Relationship

The COVID-19 pandemic represents a major stressor for the psychological health of people worldwide. In the UK, the COVID19-Psychological Research Consortium Study (C19PRC) launched to evaluate the psychological impact of COVID-19 in the general population and its implications. The project was then extended to Italy and several other countries. This article provides an overview of the Italian C19PRC study and its replication of two specific findings from the UK C19PRC. In the first part, the relationship between anxiety and somatic symptomatology is examined. In the second part, we analyze the association between several factors and psychological health outcomes: depression/anxiety, traumatic stress, COVID-19 anxiety. In line with the study conducted in the UK, an online survey was administered to the adult Italian general population. The sample included 1038 respondents (age, mean = 49.94, SD = 16.14, 51.15% females) taken from four regions: Lombardia, Veneto, Lazio, and Campania. The relationship between predictors and outcomes was evaluated by means of logistic regression models. Somatic indices showed a positive association with anxiety, worse somatic symptoms were associated with mourning a loss of a beloved one due to COVID-19 and with precarious health conditions. Females showed a higher incidence of psychological issues. No differences in anxiety, depression, and traumatic stress were found across regions but the Campania region showed the most severe somatic symptomatology. In the second analysis, the factors associated with more severe psychological outcomes (i.e., anxiety and/or depression, traumatic stress, and COVID-19 related anxiety) were younger age, the presence of minors in the household, traumatic stressors, and precarious health conditions. No differences across regions emerged. The Italian results correspond to the UK findings for anxiety, depression, and traumatic stress. Both in the UK and Italy, the factors associated with worse psychological health were gender (female), younger age, having children, pre-existing health issues (both for oneself or someone close), and the moderate/high perceived risk of contracting COVID-19 within one month. In Italy, unlike the UK, lower household income and having (had) COVID-19 were not associated with poorer mental health. The psychological impact of COVID-19 can last for months; future research should explore all aspects of the psychological burden of COVID-19 in order to implement psychological interventions and promote psychological health.

scholarly journals Challenging incidents in health centers and how to deal with it: Physician–Patient bad interactions

2021 ◽  
Vol 1 (4) ◽  
pp. e284
Author(s):  
Feroza Fatima ◽  
Waad Ibrahim Kadori
Keyword(s):  
Health Outcomes ◽  
Patient Care ◽  
Clinical Outcomes ◽  
Patient Outcomes ◽  
Health Centers ◽  
Patient Health ◽  
Patient Relationships ◽  
Physician Patient ◽  
The Relationship ◽  
Improve Patient

The physician-patient rapport is the basis of patient care and can have profound implications on clinical outcomes. Ultimately, the principal objective of the physician-patient rapport is to improve patient health outcomes. Stronger physician-patient relationships are correlated with improved patient outcomes. As the relationship between physicians and patients becomes more important, it is essential to understand the factors that influence this relationship.

scholarly journals Does patient self-management education of primary care professionals improve patient outcomes: a systematic review

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Andree Rochfort ◽  
Sinead Beirne ◽  
Gillian Doran ◽  
Patricia Patton ◽  
Jochen Gensichen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Patient Outcomes ◽  
Management Education ◽  
Self Management ◽  
Improve Patient ◽  
Primary Care Professionals

The Relationship Between Hearing Loss Self-Management and Hearing Aid Benefit and Satisfaction

2019 ◽  
Vol 28 (2) ◽  
pp. 274-284 ◽  
Author(s):  
Elizabeth Convery ◽  
Gitte Keidser ◽  
Louise Hickson ◽  
Carly Meyer
Keyword(s):  
Decision Making ◽  
Hearing Loss ◽  
Hearing Aids ◽  
Clinical Decision Making ◽  
Hearing Aid ◽  
Well Being ◽  
Self Report ◽  
Self Management ◽  
Hearing Aid Benefit ◽  
The Relationship

Purpose Hearing loss self-management refers to the knowledge and skills people use to manage the effects of hearing loss on all aspects of their daily lives. The purpose of this study was to investigate the relationship between self-reported hearing loss self-management and hearing aid benefit and satisfaction. Method Thirty-seven adults with hearing loss, all of whom were current users of bilateral hearing aids, participated in this observational study. The participants completed self-report inventories probing their hearing loss self-management and hearing aid benefit and satisfaction. Correlation analysis was used to investigate the relationship between individual domains of hearing loss self-management and hearing aid benefit and satisfaction. Results Participants who reported better self-management of the effects of their hearing loss on their emotional well-being and social participation were more likely to report less aided listening difficulty in noisy and reverberant environments and greater satisfaction with the effect of their hearing aids on their self-image. Participants who reported better self-management in the areas of adhering to treatment, participating in shared decision making, accessing services and resources, attending appointments, and monitoring for changes in their hearing and functional status were more likely to report greater satisfaction with the sound quality and performance of their hearing aids. Conclusion Study findings highlight the potential for using information about a patient's hearing loss self-management in different domains as part of clinical decision making and management planning.

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